What do you tell men with low but detectable PSA who have completed ADT and RT?

Topics: Radiation Oncology • Genitourinary Cancers

Is a detectable PSA on ADT a harbinger of biochemical recurrence? Is there a threshold value above which you are concerned (ie. 1.0 vs 0.5 Ng/mL)? Is there any data to substantiate concern for values over a certain threshold?

Answer from: Radiation Oncologist at Community Practice

Several analysis have shown that patients who do not achieve undetectable PSA levels after 6 months of ADT have worse outcomes. This is a bit of a moving target and the definition of undetectable has changed over the decades. An important question is - are these patients failing due to incomple...

Comments

Radiation Oncologist at Center for Neurosciences
Thank you Dr. @Irving D. Kaplan for the thoughtful...

Radiation Oncologist at University of North Carolina at Chapel Hill
Hi Tijana, Hope this helps. The discussion also c...

Medical Oncologist at Dana-Farber Cancer Institute
What do we consider as an undetectable PSA? Is it ...

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